| St. Charles Sleep Center - Redmond | |
|
655 Nw Jackpine Avenue Redmond OR 97756-1334 | |
| (541) 526-6661 | |
| (541) 548-3764 |
| Full Name | St. Charles Sleep Center - Redmond |
|---|---|
| Speciality | Psychiatry & Neurology - Sleep Medicine |
| Location | 655 Nw Jackpine Avenue, Redmond, Oregon |
| Authorized Official Name and Position | Karen M Shepard (SR VP FINANCE / CFO) |
| Authorized Official Contact | 5417067707 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| St. Charles Sleep Center - Redmond Po Box 1420 Redmond OR 97756-0400 Ph: (541) 526-6556 | St. Charles Sleep Center - Redmond 655 Nw Jackpine Avenue Redmond OR 97756-1334 Ph: (541) 526-6661 |
| NPI Number | 1437453776 |
|---|---|
| Provider Enumeration Date | 12/30/2010 |
| Last Update Date | 12/30/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437453776 | NPI | - | NPPES |
| 500625168 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084S0012X | Psychiatry & Neurology - Sleep Medicine | (* (Not Available)) | Primary |
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